Sawada Yasuhiro, Suzuki Hitoshi, Teranishi Satoshi, Mizumoto Tooru, Shimpo Hideto
Department of Cardiovascular Surgery, Mie Prefectural General Medical Center, Yokkaichi, Japan.
Kyobu Geka. 2020 Nov;73(12):1018-1021.
A 61-year-old woman was referred to our hospital with a complaint of chest compression. Coronary angiography revealed a giant coronary artery aneurysm, located in the middle of a coronary-pulmonary artery fistula originating from the right coronary artery. Another fistula was also shown between the left anterior descending artery and the pulmonary artery. Surgical correction was indicated due to the risks of the aneurysmal rupture and coronary events. Under cardiopulmonary bypass, suture-closure of the coronary artery aneurysm and ligations of the fistulae were carried. Postoperative coronary angiography showed no aneurysm or fistula, and she was discharged uneventfully on the 12th postoperative day.
一名61岁女性因胸部压迫感前来我院就诊。冠状动脉造影显示一个巨大冠状动脉瘤，位于起源于右冠状动脉的冠状动脉 - 肺动脉瘘的中部。左前降支动脉与肺动脉之间也显示存在另一个瘘。由于动脉瘤破裂和冠状动脉事件的风险，需要进行手术矫正。在体外循环下，对冠状动脉瘤进行了缝合闭合，并结扎了瘘管。术后冠状动脉造影显示无动脉瘤或瘘管，她于术后第12天顺利出院。
